Organization · NPI-2

Lincoln Heights Family And Industrial Medical Clinic

Physician Assistant · Pomona, CA

NPI number1982787206
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1982787206
Entity type
Organization (NPI-2)
Legal business name
Lincoln Heights Family And Industrial Medical Clinic
Organization subpart
No
Enumeration date
Oct 23, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA 17061CAYes
207V00000X Obstetrics & GynecologyA37294CA
208000000X PediatricsA50856CA
208D00000X General PracticeA33894CA
363A00000X Physician AssistantPA 14845CA
363A00000X Physician AssistantPA 16663CA
363LX0001X Nurse Practitioner, Obstetrics & GynecologyRN 548298CA

Other names

  • West Coast Medical Center (Doing Business As)

Practice location

1501 E Holt Ave
Pomona, CA 91767-5823

Phone 909-623-3600 · Fax 909-623-3383

Mailing address

1501 E Holt Ave
Pomona, CA 91767-5823

Phone 909-623-3600 · Fax 909-623-3383

Authorized official

Samuel Kwok-Kuen Chung
President-Owner
9096233600

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